{
"Npi": {
"NPI": "1184806432",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MONTANA ACADEMY, INCORPORATED",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "28 W CALIFORNIA ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "KALISPELL",
"MailingAddressStateName": "MT",
"MailingAddressPostalCode": "59901-3927",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "406-755-7318",
"MailingAddressFaxNumber": "406-755-3150",
"FirstLinePracticeLocationAddress": "9705 LOST PRAIRIE RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MARION",
"PracticeLocationAddressStateName": "MT",
"PracticeLocationAddressPostalCode": "59925-9844",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "406-858-2339",
"PracticeLocationAddressFaxNumber": "406-858-2356",
"EnumerationDate": "11/28/2007",
"LastUpdateDate": "11/28/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MCKINNON",
"AuthorizedOfficialFirstName": "JOHN",
"AuthorizedOfficialMiddleName": "A",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "406-755-7318",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "323P00000X",
"TaxonomyName": "Psychiatric Residential Treatment Facility",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}